Report #2892826

Received Apr 15, 2026

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 0.6 yrs
State: CO
Recovered: Unknown
Vaccinated: Apr 13, 2026
Onset: Apr 13, 2026
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	2	72M4D	IM / RL
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	37KF3	IM / RL
HIBV	HIB (PEDVAXHIB)	MERCK & CO. INC.	2	Z007712	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	2	MM0530	IM / LL
RV1	ROTAVIRUS (ROTARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	94A7Z	PO / MO

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

Patient received first dose of rotavirus after the recommended age of 15 weeks, 0 days. No known signs of intussuception following administration

Other medications

No known medication history

Allergies

No known allergies